Experiences of clients who have made the transition from the psychiatric hospital to community service provision: a phenomenological approach

Abstract

Deinstitutionalization, the replacement of long-stay hospitals with community-based alternatives, can have favourable outcomes for people experiencing mental health problems. However, in many cases the community services needed for comprehensive care are not available. This raises the question as to whether the move from the long-stay hospital has been positive or not for health of clients. Therefore, it is important to examine clients' lived experiences of such a move. This is the aim of the present study which was based on a phenomenological approach. The results indicate that participants experienced a significant change in their lives in relation to their psychological, physical and social health and well-being. Freedom for self-determination and living in an environment that gives them autonomy is at the core of their personal experience. It could be argued that deinstitutionalization generated a shift in client experience in relation to their health and well-being.

Keywords:

• mental health promotion
• psychiatric hospital
• community
• phenomenology

Acknowledgement

The authors are grateful to the participants of the study.